Gladwin Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GLADWIN FAMILY PHARMACY LLC

Practice address

307 W Cedar Ave
Gladwin, MI 48624-2065

Phone

(248) 982-2861

NPI assigned

Nov 20, 2019

Last updated

Nov 20, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bret Eric Robertson, RPHNPI 1942488929

Title

Owner/President

Phone

(248) 982-2861

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bret Eric Robertson, RPH

  • Pharmacist
  • South Lyon, MI
  • NPI 1942488929
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1568008969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242065",
            "telephone_number": "248-982-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242065",
            "telephone_number": "248-982-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADWIN FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-982-2861",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladwin Family Care Center
• Gladwin Family Care Center P C
• Gladwin Family Care PLLC
• Gladwin Family Care PLLC
• Gladwin Family Chiropractic PC
• Gladwin Family Practice
• Gladwin Optometric Center Inc
• Gladwin Pines Operating, LLC (Gladwin Pines Nursing and Rehabilitation Center)
• Gladwin Pines Operating, LLC (Gladwin Pines Nursing and Rehabilitation Center)
• Gladwin Urgent Care PC

• Community/Retail Pharmacy in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.